Aet Nicholas, LLC

Endodontics · Omaha, NE

Organization Active NPI

NPI number 1790464477

Practice location

10020 Nicholas St Ste 201
Omaha, NE 68114-2188
Phone
(402) 614-2024

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NPI record

NPI
1790464477
Entity type
Organization (Type 2)
Enumeration date
July 11, 2023
Last updated
July 11, 2023
Certified
July 11, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X — —

Mailing address

27330 W Center Rd
Waterloo, NE 68069-6814
Phone
(701) 361-4560

Authorized official

Name
Brent J Rising
Title
Manager
Phone
(701) 799-6453

About Aet Nicholas, LLC

Aet Nicholas, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 10020 Nicholas St Ste 201, Omaha, NE 68114-2188. The NPI number 1790464477 was assigned on July 11, 2023 and the record was last updated on July 11, 2023.

The authorized official for this organization is Brent J Rising, Manager.

Frequently asked questions

What is the NPI number of Aet Nicholas, LLC?

The NPI number is 1790464477.

What is the phone number of Aet Nicholas, LLC?

The phone number listed for the practice location is (402) 614-2024.

Where is Aet Nicholas, LLC located?

10020 Nicholas St Ste 201, Omaha, NE 68114-2188.

What is the taxonomy code for Aet Nicholas, LLC?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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